Imagine Station Wv Llc | |
709 3rd Ave Huntington WV 25701-1421 | |
(304) 633-7751 | |
Not Available |
Full Name | Imagine Station Wv Llc |
---|---|
Speciality | Counselor - Professional |
Location | 709 3rd Ave, Huntington, West Virginia |
Authorized Official Name and Position | Candace D Layne (DIRECTOR) |
Authorized Official Contact | 3045442417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Imagine Station Wv Llc 709 3rd Ave Huntington WV 25701-1421 Ph: (304) 544-2417 | Imagine Station Wv Llc 709 3rd Ave Huntington WV 25701-1421 Ph: (304) 633-7751 |
NPI Number | 1508520966 |
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Provider Enumeration Date | 10/22/2021 |
Last Update Date | 08/08/2022 |
Certification Date | 08/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508520966 | NPI | - | NPPES |
1124273065 | Other | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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